THORN EANG

CERES, CA
NPI1003553017
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  689051)
Enumeration Date2022-05-19
Last Update Date2022-05-19
Business Address
THORN EANG LVN
829 ALLACANTE DR
CERES, CA 95307-7308
Phone number: 209-681-6030
Mailing Address
THORN EANG LVN
829 ALLACANTE DR
CERES, CA 95307-7308
Phone number: 209-681-6030
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